Maxilla

Radiology

Pathology

Odontogenic tumor

Cyst

Lesion

Radiological weapon

Dentistry

Molar

Ameloblastoma

Presentation (obstetrics)

Odontogenic cyst

Dentigerous cyst

Keratocyst

Impacted tooth

Medicine

Diagnostics

Dentigerous cyst is an odontogenic developmental cyst arising from the pericoronal tissue of an impacted tooth, and that may exhibit various radiological aspects. The aim of this article is to present four cases of histologically confirmed mandibular dentigerous cysts to highlight diverse radiological presentations: one of classical appearance (well-limited unilocular radiolucent lesion surrounding the crown) and three which have shown radiological peculiarities (one cyst displacing the adjacent tooth, with bone but no root resorption, one cyst presenting hallmarks of infection and one multilocular cyst with thin septa). Such radiologic diversity may, on occasion, suggest a clinical aggressive lesion such as an odontogenic keratocyst or ameloblastoma. The diagnosis of dentigerous cyst requires a thorough evaluation of the clinical presentation and accurate radiological studies.

Dentigerous Cysts with Diverse Radiological Presentation Highlighting Diagnostic Challenges